压疮的预防与护.pptVIP

PurdueUniversityWritingLabPurdueUniversityWritingLabKeyConcept:Thesizeofyourhonorsandactivitiessectiondependsonthreefactors:potentialrelevance,potentialinterest-valuetoemployers,andspaceavailable.Todeterminerelevance,studentsmayneedtodosomeoutsideresearchintocompanyliteratureandstudyjobadvertisementsintheirfield.Determininginterest-valueisdifficult,butgenerallyspeakingapplicantsmaywantselectexperiencestheyfeelbestrepresentthemasprofessionalsorasinterestingpeople.Itisagoodideatodraftthehonorsandactivitiessectionlast,afteronehaswrittenone’sobjective,educationandexperiencesections,inordertoseehowmuchroomisleftforextrainformation.Studentsshouldkeepinmindthattheydonothavetoincludeeverythinginthisoranyresumesection.Includeonlyenoughtosparkinterestintheeyesofresumereaders.Onecanalwaysfillinanygapsinthecoverletter—andintheinterviewitself.Activity:Haveparticipantswritean“R”nexttoallpotentiallyrelevantexperiencesandan“I”nexttoonesthatmostinterestthemandmaymostinterestemployers,regardlessofrelevance.Later,iftheyhavespace,considerdevelopingallmarkedexperiences.Rationale: Thenextslideillustratestwodifferentapproachesforlistingitemsinthehonorsandactivitiessection.Clickmousetorevealeachitem.压疮的预防与护理是局部组织长期受压、血液循环障碍，持续缺血、缺氧、营养不良而致软组织溃烂和坏死，目前多称压力性溃疡。Definitionofpressureulcer

压疮的定义褥疮发生的诱因

局部皮肤外环境的改变皮肤自身内条件的改变低蛋白血症血液循环不良压力敏感性增高×01=02压力的强弱03时间04褥疮产生05褥疮产生方程式06造成褥疮的力学机制01垂直性压力摩擦力剪切力挤压02毛细血管的内压32mmHg是褥疮形成的极限。垂直性压力仰卧位时候01侧卧位时候02俯卧位时候03褥疮的好发部位好发部位接待新入院及转科的卧床、坐轮椅患者，护士要按照记录表所列部位仔细检查病人皮肤，发现问题逐项填写记录单，并与家属或原科护士核对后签字。在日常护理工作中发现新发褥疮，由当班护士逐项填写并签字。褥疮长、宽、深、窦道的测量方法：321实施方法测量褥疮的表面：用厘米制一般尺、纸尺测量伤口表面的最宽及最长处。测量褥疮的深度：使用无菌长棉棒探至褥疮最底部，以测量深度；坏死组织覆盖伤口，则不能测量深度。以顺时针方法，记录窦道的位置，用棉棒探测到